Billing code 0596T: Intraurethral pumpMedicare rate & RVUs
Reports placement of a temporary pump-equipped intraurethral device to help a woman with urinary retention empty her bladder.
Medicare pays $2,019.08 for 0596T nationally in the office and $111.56 in a hospital or facility. Local office rates run $1,743.83–$2,880.70.
Medicare rate · 0596T
Intraurethral pump
Swap in your local Medicare rate.
- Work RVUs
- 2.37
- Total RVUs
- 60.45
- Global days
- 000
National rate · 2026
$2,019.08
Office setting, before claim adjustments.
See every locality for 0596T → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What 0596T covers
This Category III service covers insertion of a temporary, pump-equipped device through the female urethra, with the device positioned to support bladder emptying. The patient can operate the pump to allow urine to drain. Urologists and urogynecologists typically perform the insertion for women who need ongoing bladder-emptying assistance, such as patients with urinary retention who cannot manage their bladder with their usual method. The service may be performed in an office or facility setting.
Report 0596T for the initial insertion, not for later replacement; 0597T describes replacement. Documentation should identify the urinary retention or other bladder-emptying problem, the device inserted, and the insertion performed. The 0-day global period includes same-day preoperative and postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 0596T pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$1743.83 to $2880.70
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,775.05 | $105.96 |
| Alaska* | $2,182.18 | $150.67 |
| Arizona | $1,958.38 | $109.99 |
| Arkansas | $1,743.83 | $105.27 |
| Atlanta | $2,051.29 | $113.24 |
| Austin | $2,130.90 | $112.73 |
| Bakersfield | $2,204.38 | $113.73 |
| Baltimore/Surr. Cntys | $2,162.79 | $116.01 |
| Beaumont | $1,844.59 | $108.74 |
| Brazoria | $2,001.20 | $110.84 |
| Chicago | $2,035.80 | $118.74 |
| Chico | $2,203.86 | $113.21 |
| Colorado | $2,142.77 | $113.16 |
| Connecticut | $2,170.71 | $116.30 |
| Dallas | $2,011.35 | $111.45 |
| Dc + Md/Va Suburbs | $2,368.34 | $121.27 |
| Delaware | $1,995.76 | $111.12 |
| Detroit | $1,954.80 | $114.04 |
| East St. Louis | $1,869.37 | $114.45 |
| El Centro | $2,203.88 | $113.23 |
| Fort Lauderdale | $2,048.29 | $115.96 |
| Fort Worth | $1,992.06 | $111.24 |
| Fresno | $2,203.86 | $113.21 |
| Galveston | $2,005.31 | $111.14 |
| Hanford-Corcoran | $2,203.86 | $113.21 |
| Hawaii, Guam | $2,282.06 | $113.20 |
| Houston | $2,008.06 | $113.88 |
| Idaho | $1,861.65 | $106.73 |
| Indiana | $1,875.26 | $106.98 |
| Iowa | $1,851.60 | $106.21 |
| Kansas | $1,830.85 | $106.44 |
| Kentucky | $1,803.88 | $108.09 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $2,374.74 | $118.13 |
| Madera | $2,203.86 | $113.21 |
| Manhattan | $2,340.54 | $124.00 |
| Merced | $2,203.86 | $113.21 |
| Metropolitan Boston | $2,397.15 | $119.57 |
| Metropolitan Kansas City | $1,900.94 | $109.77 |
| Metropolitan Philadelphia | $2,100.81 | $115.07 |
| Metropolitan St. Louis | $1,926.22 | $110.25 |
| Miami | $2,106.08 | $120.34 |
| Minnesota | $2,071.67 | $108.83 |
| Mississippi | $1,748.82 | $106.44 |
| Modesto | $2,203.86 | $113.21 |
| Montana** | $2,019.07 | $111.55 |
| Napa | $2,636.91 | $122.79 |
| Nebraska | $1,866.98 | $106.33 |
| Nevada** | $2,020.18 | $110.75 |
| New Hampshire | $2,097.79 | $112.06 |
| New Mexico | $1,859.49 | $110.29 |
| New Orleans | $1,905.61 | $110.62 |
| North Carolina | $1,887.64 | $107.92 |
| North Dakota** | $2,016.11 | $108.58 |
| Northern Nj | $2,334.00 | $121.27 |
| Nyc Suburbs/Long Island | $2,394.14 | $126.10 |
| Ohio | $1,850.79 | $109.22 |
| Oklahoma | $1,810.93 | $107.51 |
| Oxnard-Thousand Oaks-Ventura | $2,371.57 | $116.87 |
| Portland | $2,233.84 | $114.58 |
| Poughkpsie/N Nyc Suburbs | $2,207.52 | $118.78 |
| Puerto Rico | $2,040.29 | $111.79 |
| Queens | $2,378.52 | $123.82 |
| Redding | $2,203.86 | $113.21 |
| Rest Of California | $2,203.86 | $113.21 |
| Rest Of Florida | $1,936.47 | $112.87 |
| Rest Of Georgia | $1,811.08 | $109.56 |
| Rest Of Illinois | $1,853.57 | $112.00 |
| Rest Of Louisiana | $1,796.36 | $108.20 |
| Rest Of Maine | $1,862.40 | $107.47 |
| Rest Of Maryland | $2,042.68 | $112.27 |
| Rest Of Massachusetts | $2,121.88 | $113.26 |
| Rest Of Michigan | $1,851.39 | $109.82 |
| Rest Of Missouri | $1,751.94 | $107.65 |
| Rest Of New Jersey | $2,200.75 | $117.73 |
| Rest Of New York | $1,920.85 | $108.70 |
| Rest Of Oregon | $2,009.86 | $109.96 |
| Rest Of Pennsylvania | $1,860.15 | $109.04 |
| Rest Of Texas | $1,919.92 | $109.68 |
| Rest Of Washington | $2,121.47 | $112.84 |
| Rhode Island | $2,083.90 | $113.43 |
| Riverside-San Bernardino-Ontario | $2,205.52 | $114.88 |
| Sacramento-Roseville-Folsom | $2,335.00 | $116.55 |
| Salinas | $2,326.87 | $116.04 |
| San Diego-Chula Vista-Carlsbad | $2,398.41 | $117.01 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $2,817.21 | $127.60 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $2,817.04 | $127.43 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $2,880.70 | $130.05 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $2,880.00 | $129.35 |
| San Luis Obispo-Paso Robles | $2,287.06 | $114.39 |
| Santa Cruz-Watsonville | $2,434.43 | $116.79 |
| Santa Maria-Santa Barbara | $2,340.17 | $116.00 |
| Santa Rosa-Petaluma | $2,460.29 | $117.85 |
| Seattle (King Cnty) | $2,461.35 | $120.82 |
| South Carolina | $1,871.28 | $108.73 |
| South Dakota** | $2,015.76 | $108.23 |
| Southern Maine | $1,999.82 | $109.46 |
| Stockton | $2,203.86 | $113.21 |
| Suburban Chicago | $2,075.75 | $116.72 |
| Tennessee | $1,840.69 | $106.75 |
| Utah | $1,902.48 | $109.40 |
| Vallejo | $2,636.66 | $122.55 |
| Vermont | $1,997.26 | $108.81 |
| Virgin Islands | $2,040.29 | $111.79 |
| Virginia | $1,984.72 | $109.62 |
| Visalia | $2,203.86 | $113.21 |
| West Virginia | $1,767.77 | $110.13 |
| Wisconsin | $1,934.35 | $106.94 |
| Wyoming** | $2,017.78 | $110.26 |
| Yuba City | $2,203.86 | $113.21 |
0596T rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$1,743.83
$2,542.28
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $2,182.18 | 1 |
| AL | $1,775.05 | 1 |
| AR | $1,743.83 | 1 |
| AZ | $1,958.38 | 1 |
| CA | $2,203.86–$2,880.70 | 29 |
| CO | $2,142.77 | 1 |
| CT | $2,170.71 | 1 |
| DC | $2,368.34 | 1 |
| DE | $1,995.76 | 1 |
| FL | $1,936.47–$2,106.08 | 3 |
| GA | $1,811.08–$2,051.29 | 2 |
| GU | $2,282.06 | 1 |
| HI | $2,282.06 | 1 |
| IA | $1,851.60 | 1 |
| ID | $1,861.65 | 1 |
| IL | $1,853.57–$2,075.75 | 4 |
| IN | $1,875.26 | 1 |
| KS | $1,830.85 | 1 |
| KY | $1,803.88 | 1 |
| LA | $1,796.36–$1,905.61 | 2 |
| MA | $2,121.88–$2,397.15 | 2 |
| MD | $2,042.68–$2,368.34 | 3 |
| ME | $1,862.40–$1,999.82 | 2 |
| MI | $1,851.39–$1,954.80 | 2 |
| MN | $2,071.67 | 1 |
| MO | $1,751.94–$1,926.22 | 3 |
| MS | $1,748.82 | 1 |
| MT | $2,019.07 | 1 |
| NC | $1,887.64 | 1 |
| ND | $2,016.11 | 1 |
| NE | $1,866.98 | 1 |
| NH | $2,097.79 | 1 |
| NJ | $2,200.75–$2,334.00 | 2 |
| NM | $1,859.49 | 1 |
| NV | $2,020.18 | 1 |
| NY | $1,920.85–$2,394.14 | 5 |
| OH | $1,850.79 | 1 |
| OK | $1,810.93 | 1 |
| OR | $2,009.86–$2,233.84 | 2 |
| PA | $1,860.15–$2,100.81 | 2 |
| PR | $2,040.29 | 1 |
| RI | $2,083.90 | 1 |
| SC | $1,871.28 | 1 |
| SD | $2,015.76 | 1 |
| TN | $1,840.69 | 1 |
| TX | $1,844.59–$2,130.90 | 8 |
| UT | $1,902.48 | 1 |
| VA | $1,984.72–$2,368.34 | 2 |
| VI | $2,040.29 | 1 |
| VT | $1,997.26 | 1 |
| WA | $2,121.47–$2,461.35 | 2 |
| WI | $1,934.35 | 1 |
| WV | $1,767.77 | 1 |
| WY | $2,017.78 | 1 |
How the 0596T rate is calculated
Each of 0596T’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 0596T
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.37Practice expense 57.93Malpractice 0.15
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 0596T
The CMS indicators that decide how 0596T is paid alongside other services.
CMS payment indicators · 0596T
Intraurethral pump
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
0596T without 51 · national office
$2,019.08
Intraurethral pump
0596T-51 · Second procedure: 50%
$1,009.54
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
0596T compared with similar codes
Compare codes
0596T vs 0597T vs 51701 vs 51702: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 0597TPump replacement
- Use 0596T for initial device insertion. Use 0597T when replacing a previously placed temporary intraurethral valve-pump.
- 51701Bladder catheterization
- 51701 describes simple non-indwelling catheterization, not placement of a pump-equipped intraurethral device for ongoing bladder emptying.
- 51702Bladder catheter
- 51702 is for simple placement of an indwelling bladder catheter. It does not describe insertion of the temporary intraurethral valve-pump.
0596T billing questions
How is 0596T different from 0597T?
0596T is for initial insertion of the temporary intraurethral valve-pump. Use 0597T when an existing device is replaced.
Is this the same as straight catheterization?
No. 0596T describes placement of a pump-equipped intraurethral device intended to support bladder emptying. A straight catheter is used for catheterization rather than placement of this device.
What documentation supports 0596T?
Document the bladder-emptying problem, the device inserted, and the insertion. The record should make clear that this was initial placement rather than replacement.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
How does the multiple-procedure reduction affect this code?
When procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Can an assistant, co-surgeon, or surgical team be billed?
Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 0596T and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →